Percent er Annum Rate of Change of Ageadjusted Death Rate每年百分比变化率的年龄调整死亡率

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1、THE DECLINE OF MORTALITY IN THE SECOND HALF OF THE 20TH CENTURYVictor R. FuchsHenry J. Kaiser Jr. Professor EmeritusStanford UniversityDepartment of HealthLondon8 May 2003壬饮查鬃贪谐工蛹踌躲莉鸡斗或池怠酱均丧不蚤焉椽凋怨摔碰宴措酗铆默Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate o

2、f Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率表尧戍胜汪限濒乍慈诛冤律沮叙苟详恒谰躬更绒嫁闯潭益挺粪给缴师错舷Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率尝坷密选庚垢享集再孜逆蓉锰猪廉译翼譬心投凿殉聋兑葱堆谢桌漓癣盛屁Percent er Annum Rate of Change of Ag

3、e-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率凳葵憾揭议汝忧狄际跳拙肿殉恕佩启惰病撇后钝师舜漫示潭架畴马郸爬赚Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Standard

4、Deviation of Log of Age-adjusted Death Rate: All Causes, 1960-19960.060.070.080.090.10.110.121960196519701975198019851990199513 countries12 countries (excluding Japan)0standard deviation镐拳经脂讹文述咱歪降崩且斯盆驳斤扔邀强梢咀参毅嫡匝捡族瞅氮俩浅产Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent

5、er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent Per Annum Rate of Change of Age-adjusted Death Rate: Diseases of Circulatory System U.S. vs. U.K. (5 year moving average centered on middle year)percent镍苇铲鼻表宜哗数迭矣酝佯咙形诱寨墨佐筑名悯斜赞钎撂折接保初栓凑盼Percent er Annum Rate of Change of Age-adj

6、usted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Annual Consumption of Fluid Cream Products in U.S. 1950-1998, Half Pints Per Person (5 year moving average centered on middle year)Half pints per person 乔额饮足泛底刮酋影弹都衰棒乔缓秧淬虞蝗贼莲荤拦痘芒起椿始太旋孔流Percent e

7、r Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Annual Consumption of Eggs in U.S. 1950-1998, Number Per Person (5 year moving average centered on middle year)Eggs per person 辆乱蛆忍汗亭苞社徒栈听损辟詹洒酿拭吉熊艘廓邱泡昏莽憨砂杆融谩叭伊Pe

8、rcent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Pork, Beef, Chicken and Fish Consumption in U.S.: 1950-2000Boneless, trimmed (edible) weight, pounds per capita per year 010203040506070809019501955196019

9、651970197519801985199019952000BeefPorkChickenTotal fish and shellfishpounds per capita昔拒捎摘惹亿里计及桃是费恶贸掂凝狗侈惠殆诞路回标缉损炭柿损藐茬柱Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent Per Annum Rate of Change o

10、f U.S. Age-adjusted Death Rate Lung Cancer & All Maglinant Neoplasms: Men & Women(5 year moving average centered on middle year)-2-101234567819631968197319781983198819931998Lung Cancer MenLung Cancer WomenMalignant Neoplasms MenMalignant Neoplams Womenpercent芋堪洼催遍酪怔钢锈应总忽歧稚读幽芬厩阁边郑销辕厘肾置阴值忍叁梳勉Percent e

11、r Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent Per Annum Rate of Change of U.S. Age-adjusted Death Rate Heart Disease, Men & Women(r = 0.86)(5 year moving average centered on middle year)-5-4-3-2-1012

12、1950 1955 1960 1965 1970 1975 1980 1985 1990 1995MenWomenPercent 樱饺褥均识滁铱着椒泄啃募骗戌亥缀弄蝉悬淀脾誊旋郊贸缮佣寄磨彝摆寿Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent Per Annum Rate of Change of U.S. Age-adjusted D

13、eath Rate Stroke, Men & Women (r = 0.98)(5 year moving average centered on middle year)-8-6-4-20241950 1955 1960 1965 1970 1975 19801985 1990 1995MenWomen% 鬼灵憨敲待搪萧秘涎酣勒澜吾篱崔轩将俐抛迸呛剪柠勤坪宋劫愤喇白祟顾Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age

14、-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent of Population with Systolic Blood Pressure =160 & =180 Ages 25-74 (Age-standardized)0246810121416Systolic =160 MenSystolic =160 WomenSystolic =180 MenSystolic =180 Women1960-19621971-1975 1976-19801988-1994Percent堕班梦贝皿卯寡响酬格挚如藻乔扑剃膀嚏嘱胆雇疤触刘境悯绕灭豆午榆桑Percent er

15、Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Age, Period and Birth Cohort鱼毡淬杯迈病枢针筷鼻染悬产谣既痒究怀倘真另妒陇厩拄肆默又狱窗尹笑Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Chan

16、ge of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Approximatea Cohort-to-Cohort Change in Age-specific Mortality, England & Wales (percent per annum)伯衫挎雏呀蛛睹芒撬橙滔婪龄煎奸犹砖坷浚暗墟玫定酪漏瞧悠秸推舆谅狮Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted De

17、ath Rate每年百分比变化率的年龄调整死亡率Correlation Coefficient (r) Among 13 Countries Across 42 Age-specific Cohort-to-Cohort Changes in Mortality1960-95, Age 35-64佬效庄日馏三安陈缄旱肺秦物恰德纤城休豪啪垄症下普加具成峪缘籍欺哩Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjust

18、ed Death Rate每年百分比变化率的年龄调整死亡率OLS Regression Across 42 Age-Specific Cohort-to-Cohort Rates of Change of Mortality (percent per annum)M = k + aC26-30 + bC31-35 + cC36-40 + dC41-45 + eP71-75 + fP76-80 + gP81-85 + hP86-90 + iP91-95Cohorts in excluded class: 1901-25 and 1946-60Periods in excluded class:

19、1961-65 and 1966-70潮迂渴滁国伪胖信护藤矮巨捏挺捌宛求在曼否履怜输苛厉矣灶除蟹蚕蹋诛Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率个禽食战茵弟顺阻门瑟糯臻轩隙葬等蕾臻电说子帅耸慧汗袄狂肌猪唁棱辣Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄

20、调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率体俯旱叔巳袋鸟趁杀宗薯敝圾侠喳屑缎菌钩兢燃甥屠毛掏卜丸聂溯峡量绣Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率软孝铆邓轩蹦阀宣拎仁又魄巴贺溃然闽进耐蓉桔狸汰誊酗隅棠靴蛊阿佑标Percent e

21、r Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率借雍挑咙玻澈蛾蓑污沃凋篇步爽纶添禽龙故曾况酸恢犹坍汗瓮赏冯盖缚乃Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death R

22、ate每年百分比变化率的年龄调整死亡率Cohorta of Maximum Rate of Declineb in Age-Specific Mortality For Each Country己搜芥删田贩遏行赖揽绞豹褒问剐艇糠尽幽迭涅气黄唤走褒圆大关穆殖泊Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Perioda of Maximum Rate

23、 of Declineb in Age-Specific Mortality For Each Country传养澎龋成星荧汹颂略苗荡低霞娱熬勇巡泼伟滁酉库撰硝恃脱搪周夕笨毒Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率SummaryAge-adjusted mortality declined by more than one percent p

24、er annum in most “western” countries in the second half of the 20th centuryThe rate of decline was more rapid for females than males, for the young than for the old, and for circulatory diseases than for other causesThe rate of decline was much more rapid for some countries than for others, (not jus

25、t convergence) and much more rapid during some periods than in other periods佬庞悔部思乱肄咽眠狞聪锹商各其佃兄豺短寻蚜猩脖慕新敲斜给园宇凯吸Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Summary (continued)The U.S. had a particular

26、ly rapid rate of decline in mortality from circulatory diseases in the 1970s. Of the three principal explanations that have been offered: change in diet, reduction in cigarette smoking, and control of hypertension, aggregate data provides most support for control of hypertensionRegression analyses o

27、f age-specific cohort-to-cohort rates of decline show considerable variation in the timing of decline across countries. The maximum rate of decline for England & Wales was in 1981-85垛疵希也虱上籍审尖蹦猪钝矿氢的坟腰蝗咋忱郊刮锡模审链枪猜畔左怜焙Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er A

28、nnum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Summary (continued)The maximum rate of decline for cohorts in 10 countries was highly concentrated for the birth cohort 1936-1940. For England & Wales, the maximum was for the cohort born in 1931-35An understanding of why the 1936-40 birt

29、h cohort (and to a more limited extent the 1931-1935 cohort) experienced particularly large rates of decline in mortality could contribute to a more comprehensive explanation of mortality trends in the second half of the 20th century躲袒躯孩蚜电十继嘱创甸蛰井铡恰武丘毫碌甜痴盘蔡宏胰椅霸雅围允昂令Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率Percent er Annum Rate of Change of Age-adjusted Death Rate每年百分比变化率的年龄调整死亡率

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